| NPI | 1487401659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95030297) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95134489) |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-08-06 |